Dba Acacia Wellness Center | |
217 W Georgia Ave Ste 120 Nampa ID 83686-6812 | |
(208) 498-1760 | |
(208) 498-1769 |
Full Name | Dba Acacia Wellness Center |
---|---|
Speciality | Family Medicine |
Location | 217 W Georgia Ave Ste 120, Nampa, Idaho |
Authorized Official Name and Position | Deo Marie Peppersack (OWNER) |
Authorized Official Contact | 2084981760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dba Acacia Wellness Center 353 W Iowa Ave Nampa ID 83686-2856 Ph: (208) 498-1760 | Dba Acacia Wellness Center 217 W Georgia Ave Ste 120 Nampa ID 83686-6812 Ph: (208) 498-1760 |
NPI Number | 1669612271 |
---|---|
Provider Enumeration Date | 02/23/2009 |
Last Update Date | 03/09/2016 |
Medicare PECOS PAC ID | 7517024169 |
---|---|
Medicare Enrollment ID | O20090325000692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669612271 | NPI | - | NPPES |
8083269 | Medicaid | ID | |
806976700 | Medicaid | ID |
Provider Name | Deo M Peppersack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770538811 PECOS PAC ID: 1850352915 Enrollment ID: I20041021000818 |
Provider Name | Julie L Schmidt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932346335 PECOS PAC ID: 0840468088 Enrollment ID: I20110714000306 |
Provider Name | Jana W Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396162905 PECOS PAC ID: 7416234414 Enrollment ID: I20170428002017 |
Provider Name | Brandy D Fitchett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902315021 PECOS PAC ID: 0042578569 Enrollment ID: I20171211001054 |
Provider Name | Robert Hadley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639666811 PECOS PAC ID: 4880010545 Enrollment ID: I20200812003068 |
Provider Name | Emily J Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841862133 PECOS PAC ID: 5496153892 Enrollment ID: I20211015002027 |
Provider Name | Mckenzie Morcom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417601840 PECOS PAC ID: 4789079617 Enrollment ID: I20220311001093 |
Wulfenstein Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1708 E Railroad St, Nampa, ID 83687 Phone: 208-713-3773 | |
Revitalize Consulting Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S Midland Blvd, Nampa, ID 83686 Phone: 208-977-3077 | |
Forge Ahead Counseling Couneling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 11th Ave S Ste 204, Nampa, ID 83651 Phone: 208-989-7279 | |
Affect Therapeutics, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 3rd St S Ste 109, Nampa, ID 83651 Phone: 845-769-8758 | |
Valley View Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 2nd St S, Suite 201, Nampa, ID 83651 Phone: 208-463-0202 Fax: 208-463-0205 | |
Strive Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 3rd St S, Nampa, ID 83651 Phone: 208-936-1097 Fax: 208-475-5710 | |
Blue Sky Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 16th Ave S, Nampa, ID 83651 Phone: 208-570-8894 |